2018-19 MPPG Membership Form Please choose your membership type*New MemberReturning Active MemberSustaining Member (Active Member for 5+ Years)Alumni MemberWhat Year Did You Join MPPG*201820172016201520142013 or later1. Parent Member Name:*2. Parent Member Name:Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone*CellParent 1 Email* Parent 2 Email Children How many kids do you have?12345678910NameDOB(Month/Day/Year)NameDOB(Month/Day/Year)NameDOB(Month/Day/Year)NameDOB(Month/Day/Year)NameDOB(Month/Day/Year)NameDOB(Month/Day/Year)NameDOB(Month/Day/Year)NameDOB(Month/Day/Year)NameDOB(Month/Day/Year)NameDOB(Month/Day/Year)Are You Expecting?NoYesWhen are you due?Will your youngest child enter Kindergarten next fall?*YesNoPlease confirm your acceptance of the following requirements as outlined in the MPPG Procedures and Membership Agreement.* Members must be parents to children between the ages of birth through preschool (or are expecting). Members are required to serve on the annual Luminaria fundraiser committee and one additional committee of their choice. Members are required to provide one Meal Baby meal throughout the year. Members must pay the annual dues by the date provided at the opening meeting. I agree to the Terms and Conditions of the Fall Festival Waiver Form I agree to the Terms and Conditions of the Mariemont Preschool Parents Group Photo Release. *MPPG Procedures and Membership Agreement are available on the Group’s website: www.mariemontppg.com. Alumni members are exempt from these requirements. MPPG members have the opportunity to make a Meal Baby contribution. This optional contribution fulfills the member’s Meal Baby requirement for the year. Product NameMembership Options* 2018-2019 MPPG Membership [$77] 2018-2019 MPPG Alumni Membership [$10] Meal Baby Contribution (optional) [Additional $26] Total $0.00 * includes online process fees In order for your application to be complete you must hit Submit and then complete payment through PayPal Thanks for joining MPPG!